Urosurg, Llc

NPI 1407106933 - Clinic/Center - 261QA1903X

NPI Details
NPI 1407106933
Enumeration Date 09/12/2012
Last Updated 09/12/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name JENNIFER D JENNIFER
Position ASC ADMINISTRATOR
Phone (229) 391-3535
Fax (229) 391-3529
Practice Location
1815 OLD OCILLA RD
TIFTON GA, 31794-1617, US
Phone (229) 391-3535
Fax (229) 391-3529
Business Location
1815 OLD OCILLA RD
TIFTON GA, 31794-1617, US
Phone (229) 391-3535
Fax (229) 391-3529
Toxanomy
Taxonomy Code 261QA1903X
License State
License Number
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According to our database, Urosurg, Llc NPI is 1407106933, taxonomy code is 261QA1903X Urosurg, Llc physically located at 1815 Old Ocilla Rd, Tifton GA, 31794-1617. NPI Number 1033115704 has the healthcare provider type.

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1407106933 NPI number is provided on an as is basis without warranty of any kind. 1407106933 is maintained by the National Plan & Provider Enumeration System. The contents of Urosurg, Llc are for informational purposes only.